BEVERLY HAISMA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043052939

License Status

NOT RENEWED

Business

First Name

BEVERLY

Last Name

HAISMA

Business Name

BEVERLY HAISMA

Original Issue Date

01/13/1982

Expiration Date

01/31/1985

City

LOUISVILLE

State

Zip

40222

County

KENTUCKY

Ever Disciplined

LastModifiedDate

10/21/2005